Matilda R Beaudette, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2189 Issued in NE

Practice address

4951 Center St Ste 200
Omaha, NE 68106-3252

Phone

(402) 558-2500

Fax

(402) 558-5522

NPI assigned

Aug 6, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

94.19 of 100Reported as apm

Quality

88.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: matilda.beaudette@654841124552708.direct.elationemr.com
• Direct secure messaging: matilda.beaudette.p1@direct.charlesdrew.nextgenshare.com
• Direct secure messaging: mbeaudette1068664@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Charles Drew Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1386218212
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1376153197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11108 HILLTOP AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642273",
            "telephone_number": "402-206-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063252",
            "telephone_number": "402-558-2500",
            "fax_number": "402-558-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDETTE",
        "first_name": "MATILDA",
        "middle_name": "R",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Beaty
• Erica Elizabeth Beaty, D.D.S
• Jennifer Sam Beaty, M.D.
• Kathryn Laudin Beauchaine, M.A.
• Cassidy Beauchamp
• Annie Beaudin, PTA
• Linda J Beaudin, CCC-SLP
• Rebecca Kai Beaudoin, RD LMNT
• Brittany Leigh Beaudrie, DO
• Nakia Beauford

• All providers in Omaha, NE
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.